| NPI | 1760607394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: IA 4075) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: NE 5481) |
| 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NE 5481) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-08-04 |